What are integrated care pathways?
An integrated care pathway (ICP) is a new approach at CAMH to treating a person who needs help. That person needs to see the right care providers, in the right order, in the right place, at the right time. An ICP makes sure this happens, by identifying a care team of different professionals and mapping out the treatment process from start to finish. An ICP takes a structured, evidence-based approach to care, and puts the person at the centre, resulting in better care.
ICPs have been used in some parts of the medical system for several decades. But it is only recently that they have been developed for mental health and addictions care.
Who is on this ICP team?
The patient (and, if the patient wishes, his or her family) is at the centre of the team. Around them is a group of professionals communicating with each other, and with the patient and family, about the treatment plan. The team includes a case manager (a registered nurse, a social worker or an occupational therapist), a psychiatrist, a nurse, a family support worker and a pharmacist. If it would be helpful for a particular patient, other professionals, such as a dietician, might also be involved.
How does it work?
The First Episode Psychosis Clinic (FEPC) is an outpatient clinic that helps people who are in the early stages of a first episode of psychosis. The clinic also offers support to their families.
Patients are referred through Access CAMH. When a patient is admitted, their needs are assessed by the case manager, working with the psychiatrist and other team members, and a personalized treatment plan is developed. The average treatment period within the FEPC is two to three years.
About the treatments
All ICPs at CAMH include both medication and non-medication treatments (see the map of the treatment process below).
Patients are offered medication advice, and receive personalized guidance on managing side-effects.
The non-medication treatment is based on each patient’s particular needs. It can include:
The Slaight Centre for Youth in Transition
The FEPC ICP is supported by the Slaight Centre, a newly developed $10 million project at CAMH. The Slaight Centre will lead international brain research and provide first class mental health programs for youth with complex mental illness. The centre is home to internationally renowned scientists and clinicians who are developing early interventions that will set young people on the path toward recovery.
For more information about integrated care pathways, please see our main ICP page.